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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149 (expires 131201)PART A: General Information :
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Online wellness screening form is a digital questionnaire used to assess individual's health and wellness status.
All employees are required to file online wellness screening form.
Online wellness screening form can be filled out by accessing the designated website and entering required information.
The purpose of online wellness screening form is to monitor and promote employee health and wellbeing.
Information such as health conditions, lifestyle choices, and overall wellness habits must be reported on online wellness screening form.
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